scholarly journals Peran kepala dinas dalam inovasi program public health lokal di Daerah Istimewa Yogyakarta

2017 ◽  
Vol 33 (10) ◽  
pp. 501
Author(s):  
Febria Rahmi ◽  
Yodi Mahendradata ◽  
Mubasysyir Hasanbasri
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Department ◽  
Strategic Decision ◽  
Strategic Decisions ◽  
District Health Office ◽  
District Health ◽  
Health And Nutrition ◽  
Local Medium ◽  
And Child Health

Purpose: The study aimed to describe the strategic decision making by the heads of the DIY health departments concerning the issue of maternal and child health and nutrition.Methods: This qualitative research was an exploratory study.Results: The district health office for Yogyakarta city in the Special Region of Yogyakarta does not have many strategic decisions to solve problems about maternal and child health and nutrition. However, the decisions are always hampered by human resources. Only the Gunung Kidul District Health Office stated that there was no political involvement in decisions by the head of the health department.Conclusions: The decisions made by heads of health department are still limited to the strategic plan and local medium term development plan (RPJMD). Not many innovations are developed to overcome the problems of maternal and child health and nutrition.

scholarly journals Overcoming the challenges of community-engaged emergency referrals in a rural district of Pakistan

2021 ◽  
pp. 1-10
Author(s):  
Imran Naeem Abbasi ◽  
Sameen Siddiqi
Keyword(s):  
Child Health ◽  
Health System ◽  
Maternal And Child Health ◽  
Health Department ◽  
Referral System ◽  
Health Issues ◽  
District Health ◽  
Community Volunteers ◽  
Depth Interviews ◽  
And Child Health

A functional referral system for addressing maternal and child health issues requires coordinated efforts by health system stakeholders and community. Using Rural Health Program (RHP) Thatta as platform provided by an academic institution, district health system stakeholders and community of Mirpur Sakro taluka of Thatta were engaged to strengthen the emergency referral system for maternal and child health emergencies through active community engagement. Through combined consultation, referral system plan for maternal and child health emergencies was developed. Community volunteers from each village liaised for transportation, referring patients to health facilities and maintaining referral documentation. An ambulance service under contract with health department and private transporters were taken on-board to facilitate patients’ transportation. Community’s experiences of referral system were assessed through qualitative in-depth interviews. Patients’ experiences of referral system improved but faced structural challenges including out of pocket transport expenses, direct self-referrals, Continuous...

scholarly journals The cost of improving nutritional outcomes through food‐assisted maternal and child health and nutrition programmes in Burundi and Guatemala

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Jessica Heckert ◽  
Jef L. Leroy ◽  
Deanna K. Olney ◽  
Susan Richter ◽  
Elyse Iruhiriye ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health And Nutrition ◽  
The Cost ◽  
And Child Health ◽  
Nutritional Outcomes

scholarly journals Cohort profile: the Maternal and Child Health and Nutrition in Acre, Brazil, birth cohort study (MINA-Brazil)

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034513
Author(s):  
Marly A Cardoso ◽  
Alicia Matijasevich ◽  
Maira Barreto Malta ◽  
Barbara Hatzlhoffer Lourenco ◽  
Suely G A Gimeno ◽  
...  
Keyword(s):  
Child Health ◽  
Birth Cohort ◽  
Maternal And Child Health ◽  
Retention Rate ◽  
Epidemiological Data ◽  
Childhood Development ◽  
Birth Cohort Study ◽  
Health And Nutrition ◽  
And Child Health

PurposeMaternal and Child Health and Nutrition in Acre, Brazil (MINA-Brazil) is a longitudinal, prospective population-based birth cohort, set-up to understand the effects of early environmental exposures and maternal lifestyle choices on growth and development of the Amazonian children.ParticipantsMother–baby pairs (n=1246) were enrolled at delivery from July 2015 to June 2016 in Cruzeiro do Sul, Acre, Brazil. Mothers of 43.7% of the cohort were recruited in the study during pregnancy from February 2015 to January 2016. Study visits took place during pregnancy, delivery, at 1 month, 6 months, 1 year and 2 years after delivery. In addition to clinical and epidemiological data, samples collected by the MINA-Brazil study include plasma, serum and extracted DNA from blood and faeces, which are stored in a biobank.Findings to dateKey baseline reports found a high prevalence of gestational night blindness (11.5%; 95% CI 9.97% to 13.25%) and maternal anaemia (39.4%; 95% CI 36.84% to 41.95%) at delivery. Antenatal malaria episodes (74.6% ofPlasmodium vivax) were diagnosed in 8.0% of the women and were associated with an average reduction in birth weight z-scores of 0.35 (95% CI 0.14 to 0.57) and in birth length z-scores of 0.31 (95% CI 0.08 to 0.54), compared with malaria-free pregnancies. At 2-year follow-up, data collection strategies combined telephone calls, WhatsApp, social media community and home visits to minimise losses of follow-up (retention rate of 79.5%).Future plansA 5-year follow-up visit is planned in 2021 with similar interviews and biospecimens collection. The findings from this prospective cohort will provide novel insights into the roles of prenatal and postnatal factors in determining early childhood development in an Amazonian population.

scholarly journals Women's Stated Preferences for Conditional Cash Transfer Programs Focused on Maternal and Child Health and Nutrition in India (P22-012-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shivani Kachwaha ◽  
Krishna Rao ◽  
Avril Kaplan ◽  
David Bishai
Keyword(s):  
Child Health ◽  
Service Quality ◽  
Maternal And Child Health ◽  
Good Health ◽  
User Preferences ◽  
Cash Transfer ◽  
Growth Monitoring ◽  
Health And Nutrition ◽  
Number Of Visits ◽  
And Child Health

Abstract Objectives Conditional Cash Transfers (CCTs) are important national strategies to improve maternal and child health and nutrition. India recently began implementing a Maternity Benefit Program (MBP) to encourage health care use during pregnancy and early childhood; under discussion is to include child nutrition services within a CCT program. This paper aims to understand the preferences of mothers with young children for design features (cash transfer amount and conditionalities) of CCT programs. Methods We conducted a Discrete Choice Experiment in Uttar Pradesh, India where 405 mothers with children below three years of age were interviewed. Respondents were presented 18 hypothetical CCT program profiles defined by five attributes – cash transfer amount, number of ante-natal care visits, number of visits for child immunization/growth monitoring, time taken to complete a visit, and health benefit received (proxy for service quality). Conditional logit regression was used to analyze respondent choices. Results Mothers valued the amount of cash transfer, quality of services, and quicker health center visits. They did not have a strong preference for the number of visits required. Higher cash amounts are associated with greater probability of participation. For any given amount of cash amount, better service quality (produced better health) elicited greater participation. Mothers put high valuation on service quality; they were willing-to-pay (give up) INR 2858 ($41) for a program that produced good health. Without any cash transfer, only improving service quality from average to good would increase participation by 27%. A cash transfer amount of INR 6000 ($86, currently offered by MBP) combined with fair (good) quality services would increase participation by 78% (85%). Preference for CCT programs differed across sub-groups defined by prior users of government health services and socioeconomic status. Poor households valued a given cash transfer amount more than better-off households, while better-off households valued good health outcomes more than poorer households. Conclusions Aligning maternal and child health CCT programs with user preferences can increase program participation. This study provides guidance on incorporating user preferences in the CCT program design. Funding Sources Department of International Health, Johns Hopkins University.

scholarly journals FAKTOR- FAKTOR YANG MEMPENGARUHI PENGETAHUAN TENTANG BUKU KIA PADA IBU HAMIL

2021 ◽  
Vol 7 (4) ◽  
pp. 658-663
Author(s):  
Illa Arinta
Keyword(s):  
Public Health ◽  
Child Health ◽  
Pregnant Women ◽  
Health Center ◽  
Maternal And Child Health ◽  
Maternal Knowledge ◽  
District Health ◽  
Cross Sectional ◽  
Public Health Center ◽  
And Child Health

Background. One of the major obstacles to the slow decline in MMR and IMR in Indonesia is the low maternal knowledge associated with pregnancy. Riskesdas 2012 research results nationally, mothers who own and bring books and understand the benefits only 29.1% and one of the provinces in Indonesia that is, East Java 42.1% of mothers who have books and 47.3% of mothers have but not Bring and 10.7% do not have (Ministry of Health RI, 2010).The Purpose It is known the relationship between the characteristics of pregnant women and knowledge of the MCH book at the Cempaka Putih Sub-district Health Center and the Sawah Besar Public Health Center, Central Jakarta for the period February to August 2017Research Method. The research design used was quantitative using cross sectional approach, the location of the research was conducted at Public Health Center and cempaka putih Public Health Center, with 214 samples of pregnant women. The instrument used is questionnaire. The variables used are education, occupation, parity and age.Results. much as 80.0% of mother's knowledge is good, and only 19.2% are knowledgeable less. There is no significant correlation between education, occupation, age, parity with mother's knowledge about book in pregnant women at Cempaka Putih Public Health Center and Sawah Besar Public Health Center. There is a significant relation of mother job (p = 0,048), OR = 4,596, with knowledge of books on pregnant women at Cempaka Putih Public Health Center and Sawah Besar Public Health Center. Conclusion.  Knowledge of Pregnant Women About Book Cempaka Putih Public Health Center and Sawah Besar Public Health Center the most category that is less category.Suggestion Maintain knowledge of pregnant women about the MCH handbook by evaluating pregnant women at every ANC examination so that mothers know more and actively understand about maternal and child health and mothers know better when to need help or an emergency. Keywords : Knowledge, Pregnant, Maternal and Child Health Books                ABSTRAK Latar Belakang. Salah satu kendala utama lambatnya penurunan AKI dan AKB di Indonesia adalah rendahnya pengetahuan ibu yang berhubungan dengan kehamilan. Hasil penelitian Riskesdas 2012 secara Nasional, ibu yang memiliki dan membawa buku KIA serta memahami manfaatnya hanya 29,1% dan salah satu propinsi di Indonesia yaitu, Jawa Timur 42,1% ibu yang memiliki buku KIA dan 47,3% ibu memiliki namun tidak membawa, dan 10,7% tidak memiliki ( Kemenkes RI, 2010). Hal ini menggambarkan masih banyak ibu hamil yang tidak mengetahui manfaat dan isi buku KIA.Tujuan. Diketahuinya Faktor- Faktor Yang Mempengaruhi Pengetahuan Tentang Buku KIA Pada Ibu Hamil Di Puskesmas Kecamatan Cempaka Putih Dan Puskesmas Sawah Besar  Jakarta Pusat Periode Februari s/d Agustus 2017 ”.Metode. Desain penelitian yang digunakan adalah kuantitatif dengan menggunakan pendekatan  cross sectional, lokasi penelitian dilaksanakan di Puskesmas Sawah Besar dan puskesmas cempaka putih Februari s/d Agustus 2017, dengan jumlah sampel 214 ibu hamil. Instrument yang digunakan adalah kuesioner. Variabel yang digunakan adalah pendidikan, pekerjaan, paritas, usia ibu.Hasil. Sebanyak 80,0 % pengetahuan ibu adalah baik, dan hanya 19,2 % yang berpengetahuan kurang. Tidak ada hubungan secara signifikan pendidikan, pekerjaan, usia, paritas dengan pengetahuan ibu tentang buku KIA pada ibu hamil di Puskesmas Kecamatan Cempaka Putih dan Puskesmas Sawah Besar Tahun 2017. Ada hubungan secara signifikan pekerjaan ibu (p=0,048), OR=4,596, dengan pengetahuan tentang buku KIA pada ibu hamil di Puskesmas Kecamatan Cempaka Putih dan Puskesmas Sawah Besar.Kesimpulan Tidak ada hubungan signifikan pendidikan, pekerjaan, usia, paritas dengan pengetahuan ibu tentang buku KIA, ada hubungan signifikan pekerjaan ibu dengan pengetahuan tentang buku KIA.Saran Mempertahankan pengetahuan ibu hamil tentang buku KIA dengan mengevaluasi ibu hamil pada setiap pemeriksaan ANC agar ibu lebih mengetahui dan memahami secara aktif tentang kesehatan ibu dan anak serta ibu lebih mengetahui kapan memerlukan pertolongan atau kegawatdaruratan. Kata kunci : Pengetahuan, Ibu hamil, Buku kesehatan ibu dan anak (KIA)            

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